Professional Documents
Culture Documents
Part 1: Figure your basic personal allowances (including allowances for dependents)
Check all that apply:
No one else can claim me as a dependent.
I can claim my spouse as a dependent.
1 Write the total number of boxes you checked. 1 _______________
2 Write the number of dependents (other than you or your spouse) you
will claim on your tax return. 2 _______________
3 Add Lines 1 and 2. Write the result. This is the total number of basic
personal allowances to which you are entitled. 3 _______________
4 If you want to have additional Illinois Income Tax withheld from your
pay, you may reduce the number of basic personal allowances or have
an additional amount withheld. Write the total number of basic personal
allowances you elect to claim on Line 4 and on Form IL-W-4, Line 1. 4 _______________
Note: If you have non-wage income and you expect to owe Illinois Income Tax on that income, you may choose to have an additional amount
withheld from your pay. On Line 3 of Form IL-W-4, write the additional amount you want your employer to withhold.
Cut here and give the certificate to your employer. Keep the top portion for your records.